Individual
DR. PRASANTA KUMAR MITRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(617) 232-9500
(857) 364-6503
Mailing address
9 OLD FARM RD, MILTON, MA 02186-3723
(617) 698-0416
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
33732
MA
Other
Enumeration date
09/11/2006
Last updated
07/08/2007
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